Chronic Kidney Failure Patients Research Articles

Factors Affecting the Quality of Life of Patients with Chronic Renal Failure Undergoing Hemodialysis at RSUD Sekarwangi Sukabumi District

Aims: Chronic renal failure is an increasingly prevalent global health issue, with hemodialysis as the most common treatment method. Factors affecting patients' quality of life include age, gender, education, occupation, and treatment duration. This study aimed to identify and examine these factors. Methods: This cross-sectional study involved 80 hemodialysis patients at RSUD Sekarwangi Kabupaten Sukabumi, using total sampling and questionnaires for data collection. Logistic regression was used for data analysis, and the study received ethical approval. Results: The Chi-square test results indicate that age, gender, education, occupation, duration of chronic kidney failure, and length of hemodialysis significantly influence the quality of life in chronic kidney failure patients (p < 0.005). Logistic regression analysis identified education as the dominant factor impacting quality of life (OR = 39.316). Conclusion: The study reveals that age, gender, education, occupation, duration of chronic renal failure, and length of hemodialysis treatment significantly impact the quality of life of patients with chronic renal failure.

Effectiveness of Intradialytic Exercise on Muscle Strength and Fatigue Score in Chronic Kidney Failure (CKF) Patients in the Grandmed Hemodialysis Room

Chronic kidney failure is a progressive and irreversible kidney dysfunction in which the body's ability to maintain metabolism, fluid and electrolyte balance is disrupted, resulting in uremia or azotemia. Hemodialysis is a form of treatment for patients with chronic kidney failure, in which the patient's blood is diverted out of the body through a dialyzer, which occurs through diffusion and ultrafiltration, after which the blood is returned to the patient's body. Several methods to maintain muscle strength and reduce fatigue scores, namely intradialytic exercise is an exercise program developed that can increase muscle strength, muscle endurance and physical activity. The general objective of this study was to determine the effectiveness of intradialytic exercise involvement interventions on muscle strength and fatigue scores in hemodialysis patients at GrandMed Lubuk Pakam Hospital. This research method is a quantitative study, using a quasy experiment with a one group pre-test post-test design. The population in this study were all patients with Chronic Kidney Failure who were recorded at the Medical Records Hospital Grandmed Lubuk Pakam from October 2021 to December 2022. With inclusion criteria: respondents experienced movement disorders, muscle cramps, and weakness. The number of samples was 22 respondents. The sampling technique used in this research is non-probability sampling, namely purposive sampling. The statistical test used is the Wilcoxon test. The Wilcoxon test results obtained significant results from the intradialytic exercise technique on muscle strength and fatigue scores with a p value of 0.00 each. So that it can be concluded that there is an effect of giving good intradialytic exercise interventions on muscle strength & fatigue scores in chronic kidney failure patients undergoing hemodialysis

Midterm results of endovascular treatment of ateriovenous fistula stenosis at Dong Nai General Hospital

Introduction: AVF stenosis is a common complication, leading to impaired dialysis function, increased risk of occlusion and increased mortality. Endovascular intervention treatment of AVF stenosis is an important technique in the management of dialysis patients, particularly at local hospitals. Methods: This is a retrospective study performed at Dong Nai general hospital from 2022-2024. Results: The success rate of endovascular intervention to treat AVF stenosis at Dong Nai General Hospital is 91%, 3-month primary patency was 93.1% and 6-month primary patency was 86.2%. Drug-coated balloons (DCB) shows superior effectiveness compared to conventional balloons (PBA) with a lower restenosis rate. Conclusion: Endovascular intervention to treat AVF stenosis at Dong Nai General Hospital has good short term and midterm results. Drug-eluting balloons have a statistically significantly lower mid-term restenosis rate than conventional balloons. Implementing this technique at provincial hospitals helps reduce the burden on central hospitals and reduce medical costs for chronic kidney failure patients requiring hemodialysis.

Reducing Depression with Classical Music Therapy in Chronic Kidney Failure Patients Undergoing Hemodialysis

Background: Chronic Kidney Failure problems during hemodialysis may include depression. Depression refers to the mental, thought, feeling, and behavioral problems of patients. The causes of depression include genetics, physical disease, lifestyle, and drugs. One of the therapies to relieve depression is music therapy. This research determines the influence of music therapy to relieve the depression levels of chronic kidney failure patients with hemodialysis. The applied method was quantitative with a quasi-experimental design and one group pretest-posttest. The samples consisted of 45 respondents taken by accidental sampling. The applied instruments were BDI and the music therapy SOP. All instruments were examined in terms of validity, reliability, and expert judgment. The statistic test applied a non-parametric Wilcoxon test. The results showed the influence of classical music therapy and the relieved depression levels of chronic kidney failure patients with hemodialysis. The obtained p-value is 0.000, lower than 0.05. The researcher concluded the implementation of classical music was effective to relieve the depression symptoms of chronic kidney failure patients with hemodialysis. The researcher suggests developing a combined classical music therapy to relieve depression in chronic kidney failure patients. The researcher suggests the implementation of intervention and control groups to compare the significance of the results

Pengaruh Pemberian Slimber Ice terhadap Intensitas Rasa Haus Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa di RS Santa Elisabeth Medan Tahun 2024

Chronic kidney failure patients experience excess fluid, so fluid restrictions are needed. Fluid restrictions in hemodialysis patients cause dry mouth. The dry mouth experienced by the patient can cause high thirst, high thirst can cause non-compliance with a fluid restricted diet. As a result of limiting fluid intake carried out ini hemodialysis patients, it results in a feeling of thirst which causes the patient to have the desire to drink. The aim of this study is to determine the effect of giving slimber ice on the intensity of thirst in patients with chornic kidney failure undergoing hemmodialysis. This research uses one group pretest-posttest design. The sampling technique is purposive sampling with a total of 20 respondents. The instrument used in this research is the Visual Analogue Scale fo Assessment of Thirst Intensity. The research results showed that the average thirst intensity score of patients with chronic kidney failure undergoing pre-intervention hemodialysis was 4.80, standard deviation 1,936, and post test intervention 3.10,, standard deviation 1,410. The result of statistical tests show that there is an effect of giving slimber ice on the intensity of thirst in patients with chronic kidney failure undergoing hemodialysis. The results of the paired t-test, obtain p value = 0.001. This intervention can be a form of therapeutic management that can be applied to reduce complaints of thirst at home or in hospital.

THERAPEUTIC COMMUNICATION AND PATIENT SATISFACTION LEVEL IN CHRONIC KIDNEY FAILURE IN THE HEMODIALYSIS ROOM

Therapeutic communication is an interaction conducted by nurses with patients based on mutual trust which aimed to improving the emotional and physical problems of the patient. The complexity of problems experienced by chronic kidney failure patients due to hemodialysis therapy certainly requires support from nurses to assist patients in coping with it, thus requiring solutions to address these problems by providing support both emotionally and spiritually to patients through communication and building a therapeutic relationship with patients. This study aims to determine the relationship between therapeutic communication and the level of satisfaction of chronic kidney failure patients in the hemodialysis room of RSUP Prof. Dr. R. D. Kandou Manado. The study used descriptive analytical methods with a cross-sectional design. The sample used consisted of 145 respondents using accidental sampling. From the chi-square test analysis, a p-value of < 0.001 was obtained, meaning that there is a relationship between nurse's therapeutic communication and the level of satisfaction of chronic kidney failure patients at RSUP Prof. Dr. R.D. Kandou Manado.

Breathing and Range of Motion Exercises as Fatigue Intervention In Chronic Kidney Failure Patients: a Case Study

Background : One of the most prominent negative impacts in patients with kidney failure undergoing hemodialysis is fatigue. Breathing and range of motion exercises are therapies that can be applied to reduce fatigue in patients with chronic kidney failure. Objective: to provide breathing and range of motion exercise interventions in patients with chronic renal failure. Method: used in this study is a case study. Assessment of Mrs. S conducted for 3 consecutive days. Results: After the intervention for 3 days, the results showed that the level of fatigue and anxiety in Mrs. S decreased. Conclusions and suggestions: The interventions given have an effect on reducing the level of anxiety and fatigue of patients. It is expected that nurses can provide optimal nursing care to patients with chronic kidney failure to improve the quality of life of patients.

The effect of lavender aromatherapy and deep breathing exercise on anxietas level in hemodialysis patients

Chronic kidney failure is a chronic disease that requires treatment and hemodialysis therapy. Hemodialysis therapy has physical and psychological impacts on patients, such as stress. Patients who experience stress require management techniques such as lavender aromatherapy and deep breathing relaxation. The purpose of the study was to compare the effects of lavender aromatherapy and deep breathing relaxation on patients receiving hemodialysis who were experiencing the stress of chronic kidney failure. The study's quasi-experimental design includes two groups for the pretest and posttest. The 32 patients with chronic renal failure receiving hemodialysis made up the research sample; 16 of them participated in the lavender aromatherapy intervention and 16 were part of the deep breathing relaxation group. The research instrument used is the perceived stress scale (PSS) questionnaire. With a p-value of 0.000, data analysis employing an independent t-test reveals a difference between the deep breathing relaxation and lavender aromatherapy interventions on the stress of chronic renal failure patients receiving hemodialysis. Lavender aromatherapy and breathing relaxation can reduce stress in chronic kidney failure patients undergoing hemodialysis. Lavender aromatherapy reduces stress in chronic kidney failure patients more effectively than deep breathing relaxation. Lavender aromatherapy can be an alternative therapy to reduce stress while undergoing hemodialysis.

The relationship between self-efficacy and compliance with hemodialysis in chronic kidney failure patients in the hemodialysis room at Wakatobi Regional Hospital

Background: Self-efficacy, or an individual's belief in their own abilities, plays a crucial role in determining how they respond to different circumstances. In patients with chronic kidney disease undergoing hemodialysis, self-efficacy can significantly impact treatment adherence, which is essential for positive health outcomes. However, the relationship between self-efficacy and adherence in this population remains underexplored. Purpose: This study aims to investigate the relationship between self-efficacy and adherence to hemodialysis in patients with chronic kidney disease at Wakatobi Regional Hospital. Methods: A cross-sectional quantitative study was conducted with a purposive sample of 57 respondents. Data were collected using validated self-efficacy and adherence questionnaires. The Spearman rank correlation test was employed to analyze the relationship between self-efficacy and adherence. Results: The findings revealed that 63.2% of respondents exhibited high self-efficacy, and 91.2% were categorized as adherent to their hemodialysis treatment. Statistical analysis demonstrated a significant positive relationship between self-efficacy and adherence (p=0.000), indicating that patients with higher self-efficacy tend to adhere more consistently to their treatment regimen. Conclusion: There is a significant relationship between self-efficacy and adherence to hemodialysis in patients with chronic kidney disease at Wakatobi Regional Hospital. These findings suggest that enhancing self-efficacy may improve adherence in this patient population. Future research should explore this relationship in other settings and with different study designs to confirm and expand on these results.

Family Experience as Caregivers in Caring for Chronic Kidney Failure Patients with Hemodialysis

Family Experience as Caregivers in Caring for Chronic Kidney Failure Patients with Hemodialysis

Penerapan Terapi Musik Klasik Terhadap Kecemasan Pada Pasien Gagal Ginjal Kronis Yang Menjalani Hemodialisa Di Ruang ICU RSUD Pandan Arang Boyolali

Background: According to the World Health Organization (WHO), in 2018 the incidence of CKD worldwide reached 10% of the population, chronic kidney failure patients undergoing hemodialysis are estimated to reach 1.5 million people worldwide. Chronic kidney failure sufferers who will undergo hemodialysis often experience anxiety. One technique that can overcome the level of anxiety in patients undergoing hemodialysis is distraction technique. The distraction technique that will be given to reduce anxiety is the application of classical music, apart from being able to influence mood, now music is known to have amazing powers both physically, emotionally and spiritually. Objective: To find out the results of implementing classical music therapy for anxiety in patients with chronic kidney failure. who underwent hemodialysis in the ICU Room at Pandan Arang Boyolali Regional Hospital. Method: descriptive case study. To create a picture of classical music therapy nursing care for anxiety in Chronic Kidney Failure patients undergoing hemodialysis in the ICU room at Pandan Arang Hospital, Boyolali Regency. Results: Application of classical music therapy to 2 responses in Mr. A before therapy 4 statements of very severe anxiety after therapy 1 statement of mild symptoms, while for Mr. S before therapy 3 statements of severe anxiety and after therapy 1 statement of mild anxiety. Conclusion: there was a decrease in anxiety in both respondents after classical music therapy.

Penerapan Slow Deep Breathing Untuk Menurunkan Keletihan pada Pasien Chronic Kidney Disease: Studi Kasus

Fatigue is the most common physical symptom felt by chronic kidney failure patients. Manifestations of fatigue are the body's inability to carry out routine activities, lethargy, and feeling tired all the time. Non-pharmacological therapy that can reduce fatigue is slow deep breathing relaxation therapy. To determine the intervention for providing slow deep breathing relaxation therapy in chronic kidney failure patients with fatigue. This research design is a case study using nursing care. Mr. I is 64 years old suffering from chronic kidney failure stage v who experiences problems with nursing fatigue. The intervention provided is by providing pharmacological and non-pharmacological therapy, slow deep breathing relaxation therapy. This study used the Functional Assessment of Chronic Illness Therapy-Fatigue Scale instrument. Fatigue complaints decreased with an increase in fatigue score. Before being given therapy, the slow deep breathing reaction was at a score of 22.6 became 40.33 after being given therapy for 3 days. Slow deep breathing can be given as an alternative non-pharmacological therapy which has the effect of reducing fatigue. It is hoped that nursing students or nurses in inpatient rooms can provide this therapy as a non-pharmacological intervention for chronic kidney failure patients with fatigue.

The Effect of Orange Inhalation Aromatherapy on Anxiety in Chronic Kidney Failure Patients Undergoing Hemodialysis

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Chronic renal failure patients undergoing hemodialysis often experience anxiety. The patient's anxiety stems from the patient still not knowing how the hemodialysis procedure works and its side effects. The changes experienced by chronic renal failure patients are anxiety, which causes drastic changes in patients not only physically but also mentally. This study aims to determine the effect of orange inhalation aromatherapy on anxiety in patients with chronic renal failure undergoing hemodialysis. This study is a type of experimental research with a two-group pretest-posttest design conducted at Sebelas Maret University Hospital Surakarta in March 2024. The population in this study were 77 patients with chronic renal failure undergoing hemodialysis. The sampling technique of this study was purposive sampling, so the number of samples in this study was 30, consisting of 15 control groups and 15 treatment groups. Data collection on anxiety of chronic renal failure patients was carried out using the Hamilton Anxiety Rating Scale (HARS). Data analysis test in this study used independent samples t-test. The results showed that there were differences in the effect of anxiety in patients with chronic renal failure in the control group who were not given citrus inhalation aromatherapy and the treatment group given citrus inhalation aromatherapy at Sebelas Maret University Hospital with a p-value = 0.012. It is suggested that patients with chronic renal failure undergoing hemodialysis can apply it themselves when experiencing anxiety during hemodialysis because this inhalation aromatherapy is very easy to apply and very useful</em></p><p><em> </em></p></td></tr></tbody></table></div><strong><em>Keywords: Aromatherapy, chronic kidney failure, hemodialysis, inhalation</em></strong>

The Influence Of Education Based On Self-Efficacy Theory On Interdyalitic Weight Gain (IDWG) In The Hemodialysa Unit

Poor fluid management among hemodialysis patients can lead to detrimental outcomes such as high Interdialytic Weight Gain (IDWG), contributing to increased cardiovascular morbidity and mortality. While conventional education on fluid restriction exists in hospitals, non-compliance remains prevalent, highlighting the need for educational approaches grounded in self-efficacy theory to enhance patients' self-confidence in self-management. This study aimed to assess the impact of educational interventions based on self-efficacy theory on IDWG in hemodialysis patients at Malahayati Islamic Hospital. Using a quantitative quasi-experimental pretest-posttest control group design, the study included a total of 68 participants selected through purposive sampling. Statistical analysis revealed a significant difference (p < 0.05) in IDWG scores between the intervention and control groups post-intervention, indicating the effectiveness of self-efficacy-based education in improving compliance with fluid intake restrictions among chronic kidney failure patients undergoing hemodialysis.

Overcoming Anxiety in Hemodialysis Patients with Mindfulness Therapy: Literature Review

Background: Individuals suffering from chronic kidney failure who undergo Hemodialysis therapy are prone to experiencing anxiety. The literature review aims to determine the importance of Mindfulness in overcoming anxiety in chronic kidney failure patients undergoing hemodialysis therapy. Methods: The design uses the PRISMA approach. The whole text and the year of publication are considered when making selections during the research stage. Additionally, journals and papers that were judged less important were not included. Seven pertinent papers were found through Google Scholar, Indonesia One Search, DOAJ, and Garuda using the keywords "mindfulness therapy," "hemodialysis," and "anxiety." Results: After reviewing the selected articles, it was found that by administering mindfulness therapy, the anxiety level of chronic kidney failure patients undergoing hemodialysis therapy decreased Conclusion: Mindfulness therapy can be used to decrease the anxiety level of chronic kidney failure patients undergoing hemodialysis.

THE RELATIONSHIP BETWEEN THE LONG TIME ON HEMODIALISIS AND THE LEVEL OF DEPRESSION IN CHRONIC KIDNEY FAILURE PATIENTS IN THE HEMODIALISIS ROOM SANTOSA HOSPITAL BANDUNG CENTRAL (SHBC)

Introduction. The prevalence of depression cases in the world is around 17% of all mental disorders in society. This figure is the largest compared to other mental disorders. This condition will increase under certain conditions, for example in patients with certain medical conditions who experience chronic illnesses such as stroke, diabetes, cancer and chronic kidney failure. Patients with chronic kidney failure who are required to undergo hemodialysis will increase the risk of depression, this is caused by stressors that arise such as dependence on hemodialysis machines for life, changes in lifestyle patterns related to long periods of undergoing hemodialysis, restrictions on food and drink patterns and adaptation to disease condition. The aim of this study was to determine the relationship between the length of time undergoing hemodialysis and the level of depression in chronic kidney failure patients in the SHBC hemodialysis room. Method. This research is a quantitative correlation research with a cross sectional approach or also called a point time approach . The sampling technique used in this research was Accidental Sampling of 92 respondents using the Beck Depression Inventory (BDI) questionnaire. Result & Analysis. Based on the results of statistical tests, the p-value = 0.038 (p <0.05). Discussion. In this study, it can be concluded that there is a relationship between the length of time undergoing hemodialysis and the level of depression in chronic kidney failure patients in the SHBC hemodialysis room in 2022. Patients with chronic kidney failure have many stressors that arise while undergoing hemodialysis, for this reason families and nurses can provide motivation to patients with chronic kidney failure so that they can reduce the level of depression.

Relationship of Hemoglobin and Muscle Strength with Quality of Life in Patients with Chronic Renal Failure

The elderly population is vulnerable to degenerative diseases, one of which is Chronic Kidney Disease (CKD). The age of most hemodialysis patients is between 45 and 54 years. Hemoglobin levels and muscle strength in CKD tend to be low which is associated with a decrease in quality of life in CKD. This research is an observational analytical study with a cross-sectional approach. A total of 24 data points from chronic kidney failure patients at Budhi Asih Regional Hospital, Jakarta, were used in this study. Both primary and secondary data were collected. Hemoglobin levels were obtained from medical records, muscle strength was measured using a Camry handgrip dynamometer, and quality of life was assessed through interviews using the Kidney Disease Quality of Life Short Form questionnaire. Statistical analysis was performed using Fisher's exact test with SPSS 29 for Windows, with a p-value of <0.05. Of the 24 study subjects, 20 (83.3%) had anemia, 17 (70.8%) had low muscle strength, and 9 (37.5%) had a poor quality of life. The study's results showed a significant relationship between hemoglobin levels and both muscle strength and the quality of life of chronic kidney failure sufferers, with p-values of 0.012 and 0.022, respectively. There is a relationship between hemoglobin levels and muscle strength and the quality of life of chronic kidney disease sufferers at Budhi Asih Regional Hospital.

Development of compliance theory based on self-regulation in chronic kidney failure patients on hemodialysis

Self-management in regulating diet, fluids, activities, and medication in chronic renal failure patients which getting hemodialysis is still worse. This research aimed to develop the theory of compliance based on self-regulation to increase patient obedience and awareness. A cross-sectional approach of 130 respondents was recruited using simple random sampling. Structural equation modeling partial least square (SEM-PLS) was the statistical analysis for this study. All indicators in the outer model showed outer loading value >0.7, it declared feasible to predict each of the latent variables. The R-square value of appraisal latent was 0.576, Coping was 0.897, and self-care compliance was 0.713. The model was relevant when applied in other research studies with a Q-Square value=0.832. The goodness of fit (GoF) was 0.832>0.36, which means that the model was applied well. The appraisal variable is the strongest variable that influences coping, based on the hypothesis test. The self-regulation-based compliance model for blood pressure, interdialytic weight gain (IDWG), sodium levels, and functional independence can be developed through analysis of the structural model.

Self-regulatory-based compliance module improve chronic kidney failure patients condition

Adherence is very important to pay attention to in health management and the quality of life among end-stage renal disease (ESRD) patients, in the fact that adherence is still lacking. This study aimed to analyze the effect of self-regulatory-based compliance modules improving interdialytic weight gains (IDWG), blood pressure (BP), sodium levels, and functional independence. A quantitative research design with a quasi-experiment approach (pre and post-test control study). A total of 28 samples for each group were taken using purposive sampling. Self-regulation based on health promotion was given using module and IDWG, sodium levels, BP measured with laboratories and physical examination, and Functional Independence measured using a questionnaire. Wilcoxon signed-rank test and Mann-Whitney test were the selected analyses for this study. There was a significant effect on self-regulation-based compliance to IDWG (p=0.012), sodium levels (p=0.001), systolic pressure (p=0.003), and functional independence (p=0.002) in the intervention group. A significant difference was also shown between the two groups (p<0.05). The self-regulation-based compliance module showed improved patient compliance in terms of fluid restriction, taking drugs, paying attention to diet, and managing activities. Adherence to patients increases good outcomes in controlling IDWG, BP, sodium levels, and functional independence in ESRD patients.

Breathing Exercises terhadap Kecemasan pada Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis

This study aims to determine the effect of breathing exercises on anxiety in chronic kidney failure patients undergoing hemodialysis. The method used is a quasi experiment with a two group approach: control group and intervention group pretest-posttest. Data were processed using Wilcoxon and Mann Whitney. The results showed that there was an effect of breathing exercises on anxiety (p value 0.000) and there was a significant difference between the control group and the intervention group (p value 0.000). In conclusion, there is an effect of breathing exercises on anxiety and there is a significant difference between the control group and the intervention group. Keywords: Breathing Exercises, Anxiety, Chronic Kidney Disease